Brett William Fredericksen, OD

NPI #1194392845 in Boise, Idaho

Provider Information

NPI Number
1194392845
Entity Type
Individual
Name
Brett William Fredericksen, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 9, 2021
Last Updated
Jun 9, 2021

Practice Location

Address
291 N MILWAUKEE ST STE A-3
City
Boise
State
Idaho
ZIP Code
83704-9132
Phone
(833) 776-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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